Background: Readmission becomes inevitable with the vast development of mental health services worldwide and the challenges faced by mental health services. This readmission is often caused by a relapse from an illness whereby the psychiatric patient needs nursing care.
Objective: This study aimed to explore psychiatric nurses’ perceptions of reasons for readmission and nurses’ further role in reducing readmission.
Methods: In this descriptive qualitative study, thematic analysis of five focus group discussions (n= 24 nurses) in one psychiatric department in Brunei Darussalam was identified through purposive sampling.
Results: The nurses perceived the role of family and non-adherence to medication as a significant reason for psychiatric readmission. Simultaneously, nurses viewed that it was necessary to implement systematicchoeducation to strengthen the role of family and community service support to curb readmission rates.
Conclusion: The phenomenon of mental health readmission impacts psychiatric nurses due to many stressful challenges with nurses wishing to respond personally, humanely and professionally. These challenges require suitable interventions, such as debriefing to ensure that nurses continuously strive to deliver quality care to psychiatric readmission patients.
Copyright (c) 2021 Karmayunika Khamsiah Haji Kassim, Mas Salina Haji Md Safar, Agong Lupat, Yusrita Zolkefli
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Article MetricsAbstract views: 411 | PDF views: 405
Akbari, M., Alavi, M., Irajpour, A., & Maghsoudi, J. (2018). Challenges of family caregivers of patients with mental disorders in Iran: A narrative review. Iranian Journal of Nursing and Midwifery Research, 23(5), 329-337. https://doi.org/10.4103/ijnmr.IJNMR_122_17
Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. London: Sage.
Chi, M. H., Hsiao, C. Y., Chen, K. C., Lee, L.-T., Tsai, H. C., Lee, I. H., . . . Yang, Y. K. (2016). The readmission rate and medical cost of patients with schizophrenia after first hospitalization—A 10-year follow-up population-based study. Schizophrenia Research, 170(1), 184-190. https://doi.org/10.1016/j.schres.2015.11.025
Cleary, M., Horsfall, J., O'Hara‐Aarons, M., & Hunt, G. E. (2013). Mental health nurses’ views of recovery within an acute setting. International Journal of Mental Health Nursing, 22(3), 205-212. https://doi.org/10.1111/j.1447-0349.2012.00867.x
Dlamini, S. B., & Shongwe, M. C. (2019). Exploring mental health nurses’ perceptions on factors contributing to psychiatric readmissions in Eswatini: A qualitative study. International Journal of Africa Nursing Sciences, 11, 100157. https://doi.org/10.1016/j.ijans.2019.100157
Elo, S., Kääriäinen, M., Kanste, O., Pölkki, T., Utriainen, K., & Kyngäs, H. (2014). Qualitative content analysis: A focus on trustworthiness. SAGE Open, 4(1), 2158244014522633. https://doi.org/10.1177/2158244014522633
Glette, M. K., Kringeland, T., Røise, O., & Wiig, S. (2019). Hospital physicians’ views on discharge and readmission processes: A qualitative study from Norway. BMJ Open, 9(8), e031297. https://doi.org/10.1136/bmjopen-2019-031297
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
Howard Anderson, J., Busuttil, A., Lonowski, S., Vangala, S., & Afsar‐manesh, N. (2016). From discharge to readmission: Understanding the process from the patient perspective. Journal of Hospital Medicine, 11(6), 407-412. https://doi.org/10.1002/jhm.2560
Javed, A., & Herrman, H. (2017). Involving patients, carers and families: An international perspective on emerging priorities. BJPsych International, 14(1), 1-4. https://doi.org/10.1192/s2056474000001550
Mgutshini, T. (2010). Risk factors for psychiatric re‐hospitalization: An exploration. International Journal of Mental Health Nursing, 19(4), 257-267. https://doi.org/10.1111/j.1447-0349.2009.00664.x
Nontamo, S. (2019). The experiences of professional nurses regarding patients who are repeatedly readmitted to a psychiatric hospital. University of the Western Cape, Cape Town. Retrieved from http://hdl.handle.net/11394/7044
Nxasana, T., & Thupayagale-Tshweneagae, G. (2014). Nurses' perceptions on the readmission of psychiatric patients one year after discharge. Africa Journal of Nursing and Midwifery, 16(1), 89-102. https://doi.org/10.25159/2520-5293/1490
Pedersen, P., Søgaard, H. J., Labriola, M., Nohr, E. A., & Jensen, C. (2015). Effectiveness of psychoeducation in reducing sickness absence and improving mental health in individuals at risk of having a mental disorder: A randomised controlled trial. BMC Public Health, 15(1), 1-12. https://doi.org/10.1186/s12889-015-2087-5
Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice. Philadelphia, PA: Lippincott Williams & Wilkins.
Rummel-Kluge, C., & Kissling, W. (2008). Psychoeducation in schizophrenia: new developments and approaches in the field. Current Opinion in Psychiatry, 21(2), 168-172.
Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., & Ankomah, A. (2020). Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: A systematic review and meta-analysis. Systematic Reviews, 9(1), 1-18. https://doi.org/10.1186/s13643-020-1274-3
Shamsaei, F., Cheraghi, F., & Esmaeilli, R. (2015). The family challenge of caring for the chronically mentally ill: A phenomenological study. Iranian Journal of Psychiatry and Behavioral Sciences, 9(3), e1898. https://dx.doi.org/10.17795%2Fijpbs-1898
Sobekwa, Z. C., & Arunachallam, S. (2015). Experiences of nurses caring for mental health care users in an acute admission unit at a psychiatric hospital in the Western Cape Province. Curationis, 38(2), 1-9. https://doi.org/10.4102/curationis.v38i2.1509
Srivastava, P., & Panday, R. (2016). Psychoeducation an effective tool as treatment modality in mental health. The International Journal of Indian Psychology, 4(1), 123-130. https://doi.org/10.25215/0401.153
Substance Abuse and Mental Health Services Administration. (2018). Key substance use and mental health indicators in the United States: Results from the 2017 National Survey on Drug Use and Health (HHS Publication No. SMA 18-5068, NSDUH Series H-53). Retrieved from Rockville, MD: https://www.samhsa.gov/data/
Tlhowe, T. T., Du Plessis, E., & Koen, M. P. (2017). Strengths of families to limit relapse in mentally ill family members. Health Sa Gesondheid, 22(1), 28-35. https://doi.org/10.1016/j.hsag.2016.09.003
Vasudeva, S., Kumar, M. S. N., & Sekhar, K. C. (2009). Duration of first admission and its relation to the readmission rate in a psychiatry hospital. Indian Journal of Psychiatry, 51(4), 280-284. https://dx.doi.org/10.4103%2F0019-5545.58294
Vigod, S. N., Kurdyak, P. A., Seitz, D., Herrmann, N., Fung, K., Lin, E., . . . Gruneir, A. (2015). READMIT: A clinical risk index to predict 30-day readmission after discharge from acute psychiatric units. Journal of Psychiatric Research, 61, 205-213. https://doi.org/10.1016/j.jpsychires.2014.12.003
WHO. (n.d.). Mental health in Brunei Darussalam. Retrieved from http://www.commonwealthhealth.org/asia/brunei_darussalam/mental_health_in_brunei_darussalam/